1171 Post-Operative Length of Stay Following Anatomical Lung Resection

Abstract

Abstract Aim This project aimed to identify reasons for a post-operative length of stay (LOS) more than 3 days in patients who have undergone VATS or RATS anatomical lung resections. Method Theatre records for VATS and RATS anatomical resections over a one-month period were examined with ones that were converted to open surgery excluded. The patients were then categorised into 3 groups: Group 1 – patients staying 1-2 days post-operatively, Group 2 – patients staying 3-5 days, and Group 3 – patients staying more than 5 days. Results A total of 17 patients were identified. Of these, 4 (24%) had a LOS of 1-2 days, 9 (52%) had a LOS of 3-5 days, and 4 (24%) had a LOS of 5 days or more. In Group, 3 (33%) stayed due to a post-operative air leak, 2 (22%) stayed due to post-operative pain. Case notes were missing for 2 (22%) of these patients. In Group 5, 3 (75%) stayed longer than 5 days due to a post-operative air leak, and 1 (25%) stayed due to a new arrhythmia. Conclusions The most common reason for a prolonged length of stay was due to a post-operative air leak following anatomical lung resection. Further studies could compare other months, compare VATS against RATS, or include data from resections via thoracotomy. A possible way to reduce post-operative LOS, if the cause is an ongoing air leak, could be to discharge more patients with an ambulatory bag.